Organization · Type 2 NPI
Rejuv Skin & Laser Clinic
Oral and Maxillofacial Surgery (Dentist) · Eagan, MN
NPI number
1669671152
Active
Practice location
1625 Lena Ct Ste 300
Eagan, MN 55122-2938
Fax (651) 905-3789
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | D9967 (MN) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1669671152
Rejuv Skin & Laser Clinic's National Provider Identifier is 1669671152, issued on Jul 13, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Eagan, MN. The record was last updated on Jul 13, 2007.